Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prajakta Kudalkar, PT

Individual provider Physical Therapist · NPI 1720660525

Prajakta Kudalkar, PT is a Physical Therapist in Private Practice in Carbondale, Illinois. Qualified in 2014, 12 years ago. Practices with Pleasanton Physical Therapy Services Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
12
Licensed in
IL, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1241 E Main St
Carbondale, IL 62901-3149
Phone: (618) 529-0516
Fax: (618) 529-0403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.025054 (IL)
Physical Therapist Taxonomy 225100000X · Licence 14808-24 (WI)

Record details

NPI number1720660525
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pleasanton Physical Therapy Services Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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